Autor(es):
Pereira, H ; Teles, R ; Costa, M ; Silva, P ; Ribeiro, V ; Brandão, V ; Martins, D ; Matias, F ; Pereira-Machado, F ; Baptista, J ; Abreu, PF ; Santos, R ; Drummond, A ; Carvalho, H ; Calisto, J ; Silva, J ; Pipa, J ; Marques, J ; Sousa, P ; Fernandes, R ; Ferreira, R ; Ramos, S ; Oliveira, E ; Almeida, M
Data: 2016
Identificador Persistente: http://hdl.handle.net/10400.10/1773
Origem: Repositório do Hospital Prof. Doutor Fernando Fonseca
Assunto(s): Angioplasty; Cardiac surgical procedures; Interventional cardiology; Registries; Angioplastia; Procedimentos cirúrgicos cardíacos; Cardiologia de intervenção; Registos; Portugal
Descrição
Introduction and Objectives: The aim of the present paper was to report trends in coronary angioplasty for the treatment of ST-elevation myocardial infarction (STEMI) in Portugal. Methods: Prospective multicenter data from the Portuguese National Registry of Interventional Cardiology (RNCI) and official data from the Directorate-General for Health (DGS) were studied to analyze percutaneous coronary intervention (PCI) procedures for STEMI from 2002 to 2013. Results: In 2013, 3524 primary percutaneous coronary intervention (p-PCI) procedures were performed (25% of all procedures), an increase of 315% in comparison to 2002 (16% of all interventions). Between 2002 and 2013 the rate increased from 106 to 338 p-PCIs per mil- lion population per year. Rescue angioplasty decreased from 70.7% in 2002 to 2% in 2013. During this period, the use of drug-eluting stents grew from 9.9% to 69.5%. After 2008, the use of aspiration thrombectomy increased, reaching 46.7% in 2013. Glycoprotein IIb-IIIa inhibitor use decreased from 73.2% in 2002 to 23.6% in the last year of the study. Use of a radial approach increased steadily from 8.3% in 2008 to 54.6% in 2013. Conclusion: During the reporting period there was a three-fold increase in primary angioplasty rates per million population. Rescue angioplasty has been overtaken by p-PCI as the predominant procedure since 2006. New trends in the treatment of STEMI were observed, notably the use of drug-eluting stents and radial access as the predominant approach.
